| NPI | 1063447662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHEAL BROOKS Owner/President 310-498-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20877) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 7003) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |